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Immunological Agents
immunological agents
27
Pharmacology
Professional
11/10/2009

Additional Pharmacology Flashcards

 


 

Cards

Term

cell mediating immune response:

neutrophils

 

produced in....

 

Definition
bone marrow
Term

cell mediating immune response:

basophils, eosinophils, monocytes, lymphocytes

 

produced in....

Definition
bone marrow
Term
Lymphocytes include:
Definition
B cells, plasma cells, T cells, and third population cells
Term

cell mediating immune response:

lymphoctyes

 

produced in....

Definition
bone marrow, thymus, and peripheral lymphoid organs
Term
T cells, which include CD8 cytotoxic T cells and CD4 helper cells include:
Definition
Th1 (Type 1) and Th2 (Type 2) cells
Term
Third population cells include:
Definition
natural killer cells
Term
Dendritic cells are produced in:
Definition
tissues and lymphoid organs
Term
Macrophages are produced in:
Definition
almost all tissues and organs and differentiate from blood-borne monocytes
Term
Mast cells are produced in:
Definition
almost all tissues and organs and differentiate from basophils
Term

Natural or Innate Immune Response (INFLAMMATION)

5 attributes

Definition

1. immune defenses to infection or injury that lacks memory

2. elicited by a variety of injurious agents

3. stereotypic response

4. Purpose: destroy invaders or set stage for repair

5.  Key actors: phagoctyic cells, cells that release inflammatory mediators, and natural killer cells

 

Term
Sequence of EVENTS of typical inflammatory response:
Definition

1. intial entry

2. vasodilation

3. marked protein permeability

4. exit of neutrophils, monoctyes

5. phagocytosis

6. tissue repair

Term
Plasma proteins are a source for:
Definition
acute phase proteins, complement, products of blood clotting
Term
Mast cells yield:
Definition
histamine
Term
Monoctyes and macrophages are responsible for the release of:
Definition
cytokines
Term
lysosomal enzymes and O2 derived substances originate from:
Definition
neutrophils and macrophages
Term
Lymphocytes are a source for:
Definition
antibodies and lymphokines
Term
Clonal selection leading to B and T lymphocyte action during primary immune reponses generates efector T and B cells/ memory T and B cells is:
Definition
part of an acquired immune response
Term
Two broad categories of acquired immune responses:
Definition
antibody-mediated or cell-mediated
Term
Three stages of an immune response:
Definition

1. antigen encounter

2. lymphocyte activation

3. attack

Term
Antibody-mediated/humoral responses:
Definition
involves B cells, mediated by antibodies, secreted by plasma cells, arise from B cells, major protection against bacteria or viruses in extracellular fluid
Term
Cell-mediated response:
Definition
involves CD8 T cells or cytotoxic killer cells, a major defense against intracellular viruses
Term

Corticosteroids

MoA, Effects

Definition

Corticosteroids

MoA: bind to glucocorticoid receptors

Effects: increases PMN concentration, lymphocyte concentration, monocytes, etc. 

maximal change a 6 hours.  Reduces antigens, mitogens, and cytokines and enzymes

inhibit PLA, lower PG/LKEm induce secretion lipocortinsm ibhibit COX2, vasoconstrictive, inhibit complement, reduce AB production

Term

Corticosteroids

KE, ADRs,  Uses

Definition

Corticosteroids

KE: oral use, metabolized in liver, excreted by kidneys

ADRs: toxic in short periods, longer periods lead to iatrogenic Cushing's syndrome

GI peptic ulcers, bacterial/mycotic infections, adrenal suppression, obesity, dyslipidemia, glucose intolerance

Uses: see lectures

Term

Cytotxoic and Antiproliferative Agents:

Cyclophosamide

 

Definition

Cyclophosamide

MoA: alykylating agent, SIGNAL 3 inhibitor, non cell cycle specific, inhibits B and T cells

ADRs: NV, bone marrow suppression ,aspermia

Uses: RA, leukemias and other tumors

PK: Oral, IV

Term

Cytotxoic and Antiproliferative Agents:

Azathiorpine

Structure:

MoA:

Use:

Toxicity:

Other:

Definition

Azathiorpine

Structure: purine analog

MoA: antimetabolite, SIGNAL 3, cell cycle specific, T > > B

Use: renal allotransplantation, RA

Toxicity: NV, bone marrow supression, infection

Other: Oral, IV

 

 

Term

Cytotxoic and Antiproliferative Agents:

MTX (methotrexate)

Structure:

MoA:

Use:

Toxicity:

Other:

Definition

Cytotxoic and Antiproliferative Agents:

MTX

Structure: folic acid analog

MoA: antimetabolite, SIGNAL 3, CELL CYCLE specific, inhibit B and T

Use: Crohn's Disease, RA, Leukemias, Other Tumors

Toxicity: NV, bone marrow suppression, hepatotoxicity

Other: ORAL, IV

Term

Cytotxoic and Antiproliferative Agents:

Mycophenolate Mofetil

Structure:

MoA:

Use:

Toxicity:

Other:

Definition

Cytotxoic and Antiproliferative Agents:

Mycophenolate Mofetil

Structure:

MoA:

Use:

Toxicity:

Other:

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